12,146 research outputs found
Recommended from our members
Ensuring Access to Safe and Nutritious Food for All Through the Transformation of Food Systems
‘If I am on ART, my new-born baby should be put on treatment immediately’: Exploring the acceptability, and appropriateness of Cepheid Xpert HIV-1 Qual assay for early infant diagnosis of HIV in Malawi
Early infant diagnosis of HIV (EID-HIV) is key to reducing paediatric HIV mortality. Traditional approaches for diagnosing HIV in exposed infants are usually unable to optimally contribute to EID. Point-of-care testing such as Cepheid Xpert HIV-1 Qual assay-1 (XPertHIV) are available and could improve EID-HIV in resource constrained and high HIV burden contexts. We investigated the acceptability and perceived appropriateness of XpertHIV for EID-HIV in Mulanje Hospital, Malawi. Qualitative cross-sectional study using semi-structured interviews (SSI) among caregivers and health care workers at Mulanje District Hospital. The qualitative study was nested within a larger diagnostic study that evaluated the performance of XpertHIV using whole-blood-sample in a resource limited and high burden setting. A total of 65 SSIs were conducted among caregivers (n = 60) and health care providers (n = 5). Data were coded using deductive and inductive approaches while thematic approach was used to analyse data. Point-of-care XPertHIV was perceived to be acceptable among caregivers and health care providers. Caregivers’ motivations for accepting XPertHIV HIV-testing for their infants included perceived risk of HIV emanating from child’s exposure and validation of caregiver’s own HIV sero-status. Although concerns about pain of testing and blood sample volumes taken from an infant remained amplified, overall, both caregivers and health care providers felt XpertHIV was appropriate because of its quick result turn-around-time which decreased anxiety and stress, the prospect of early treatment initiation and reduction in hospital visits and related costs. Implementation of XpertHIV has a great potential to improve EID-HIV in Malawi because of its quick turn-around-time and associated benefits including overcoming access-related barriers. Scaled implementation of this diagnostic technology require a robust community engagement strategy for managing caregivers and community myths and misconceptions towards the amount of blood sample collected from infants
The place where curses are manufactured : four poets of the Vietnam War
The Vietnam War was unique among American wars. To pinpoint its uniqueness, it was necessary to look for a non-American voice that would enable me to articulate its distinctiveness and explore the American character as observed by an Asian. Takeshi Kaiko proved to be most helpful. From his novel, Into a Black Sun, I was able to establish a working pair of 'bookends' from which to approach the poetry of Walter McDonald, Bruce Weigl, Basil T. Paquet and Steve Mason. Chapter One is devoted to those seemingly mismatched 'bookends,' Walt Whitman and General William C. Westmoreland, and their respective anthropocentric and technocentric visions of progress and the peculiarly American concept of the "open road" as they manifest themselves in Vietnam. In Chapter, Two, I analyze the war poems of Walter McDonald. As a pilot, writing primarily about flying, his poetry manifests General Westmoreland's technocentric vision of the 'road' as determined by and manifest through technology. Chapter Three focuses on the poems of Bruce Weigl. The poems analyzed portray the literal and metaphorical descent from the technocentric, 'numbed' distance of aerial warfare to the world of ground warfare, and the initiation of a 'fucking new guy,' who discovers the contours of the self's interior through a set of experiences that lead from from aerial insertion into the jungle to the degradation of burning human
feces. Chapter Four, devoted to the thirteen poems of Basil T. Paquet, focuses on the continuation of the descent begun in Chapter Two. In his capacity as a medic, Paquet's entire body of poems details his quotidian tasks which entail tending the maimed, the mortally wounded and the dead. The final chapter deals with Steve Mason's JohnnY's Song, and his depiction of the plight of Vietnam veterans back in "The World" who are still trapped inside the interior landscape of their individual "ghettoes" of the soul created by their war-time experiences
Implementing Health Impact Assessment as a Required Component of Government Policymaking: A Multi-Level Exploration of the Determinants of Healthy Public Policy
It is widely understood that the public policies of ‘non-health’ government sectors have greater impacts on population health than those of the traditional healthcare realm. Health Impact Assessment (HIA) is a decision support tool that identifies and promotes the health benefits of policies while also mitigating their unintended negative consequences. Despite numerous calls to do so, the Ontario government has yet to implement HIA as a required component of policy development. This dissertation therefore sought to identify the contexts and factors that may both enable and impede HIA use at the sub-national (i.e., provincial, territorial, or state) government level.
The three integrated articles of this dissertation provide insights into specific aspects of the policy process as they relate to HIA. Chapter one details a case study of purposive information-seeking among public servants within Ontario’s Ministry of Education (MOE). Situated within Ontario’s Ministry of Health (MOH), chapter two presents a case study of policy collaboration between health and ‘non-health’ ministries. Finally, chapter three details a framework analysis of the political factors supporting health impact tool use in two sub-national jurisdictions – namely, Québec and South Australia.
MOE respondents (N=9) identified four components of policymaking ‘due diligence’, including evidence retrieval, consultation and collaboration, referencing, and risk analysis. As prospective HIA users, they also confirmed that information is not routinely sought to mitigate the potential negative health impacts of education-based policies. MOH respondents (N=8) identified the bureaucratic hierarchy as the brokering mechanism for inter-ministerial policy development. As prospective HIA stewards, they also confirmed that the ministry does not proactively flag the potential negative health impacts of non-health sector policies. Finally, ‘lessons learned’ from case articles specific to Québec (n=12) and South Australia (n=17) identified the political factors supporting tool use at different stages of the policy cycle, including agenda setting (‘policy elites’ and ‘political culture’), implementation (‘jurisdiction’), and sustained implementation (‘institutional power’).
This work provides important insights into ‘real life’ policymaking. By highlighting existing facilitators of and barriers to HIA use, the findings offer a useful starting point from which proponents may tailor context-specific strategies to sustainably implement HIA at the sub-national government level
On the Mechanism of Building Core Competencies: a Study of Chinese Multinational Port Enterprises
This study aims to explore how Chinese multinational port enterprises (MNPEs) build
their core competencies. Core competencies are firms’special capabilities and sources
to gain sustainable competitive advantage (SCA) in marketplace, and the concept led
to extensive research and debates. However, few studies include inquiries about the
mechanisms of building core competencies in the context of Chinese MNPEs.
Accordingly, answers were sought to three research questions:
1. What are the core competencies of the Chinese MNPEs?
2. What are the mechanisms that the Chinese MNPEs use to build their core
competencies?
3. What are the paths that the Chinese MNPEs pursue to build their resources bases?
The study adopted a multiple-case study design, focusing on building mechanism of
core competencies with RBV. It selected purposively five Chinese leading MNPEs
and three industry associations as Case Companies.
The study revealed three main findings. First, it identified three generic core
competencies possessed by Case Companies, i.e., innovation in business models and
operations, utilisation of technologies, and acquisition of strategic resources. Second,
it developed the conceptual framework of the Mechanism of Building Core
Competencies (MBCC), which is a process of change of collective learning in
effective and efficient utilization of resources of a firm in response to critical events.
Third, it proposed three paths to build core competencies, i.e., enhancing collective
learning, selecting sustainable processes, and building resource base.
The study contributes to the knowledge of core competencies and RBV in three ways:
(1) presenting three generic core competencies of the Chinese MNPEs, (2) proposing
a new conceptual framework to explain how Chinese MNPEs build their core
competencies, (3) suggesting a solid anchor point (MBCC) to explain the links among
resources, core competencies, and SCA. The findings set benchmarks for Chinese
logistics industry and provide guidelines to build core competencies
The determinants of value addition: a crtitical analysis of global software engineering industry in Sri Lanka
It was evident through the literature that the perceived value delivery of the global software
engineering industry is low due to various facts. Therefore, this research concerns global
software product companies in Sri Lanka to explore the software engineering methods and
practices in increasing the value addition. The overall aim of the study is to identify the key
determinants for value addition in the global software engineering industry and critically
evaluate the impact of them for the software product companies to help maximise the value
addition to ultimately assure the sustainability of the industry.
An exploratory research approach was used initially since findings would emerge while the
study unfolds. Mixed method was employed as the literature itself was inadequate to
investigate the problem effectively to formulate the research framework. Twenty-three face-to-face online interviews were conducted with the subject matter experts covering all the
disciplines from the targeted organisations which was combined with the literature findings as
well as the outcomes of the market research outcomes conducted by both government and nongovernment institutes. Data from the interviews were analysed using NVivo 12. The findings
of the existing literature were verified through the exploratory study and the outcomes were
used to formulate the questionnaire for the public survey. 371 responses were considered after
cleansing the total responses received for the data analysis through SPSS 21 with alpha level
0.05. Internal consistency test was done before the descriptive analysis. After assuring the
reliability of the dataset, the correlation test, multiple regression test and analysis of variance
(ANOVA) test were carried out to fulfil the requirements of meeting the research objectives.
Five determinants for value addition were identified along with the key themes for each area.
They are staffing, delivery process, use of tools, governance, and technology infrastructure.
The cross-functional and self-organised teams built around the value streams, employing a
properly interconnected software delivery process with the right governance in the delivery
pipelines, selection of tools and providing the right infrastructure increases the value delivery.
Moreover, the constraints for value addition are poor interconnection in the internal processes,
rigid functional hierarchies, inaccurate selections and uses of tools, inflexible team
arrangements and inadequate focus for the technology infrastructure. The findings add to the
existing body of knowledge on increasing the value addition by employing effective processes,
practices and tools and the impacts of inaccurate applications the same in the global software
engineering industry
Recommended from our members
Co-design As Healing: Exploring The Experiences Of Participants Facing Mental Health Problems
This thesis is an exploration of the healing role of co-design in mental health. Although co-design projects conducted within mental health settings are rising, existing literature tends to focus on the object of design and its outcomes while the experiences of participants per se remain largely unexplored. The guiding research question of this study is not how we design things that improve mental health, but how co-designing, as an act, might do so.
The thesis presents two projects that were organized in collaboration with the mental health charity Islington Mind and the Psychosis Therapy Project (PTP) in London.
The project at Islington Mind used a structured design process inviting participants to design for wellbeing. A case study analysis provides insights on how participants were impacted, summarizing key challenges and opportunities.
The design at PTP worked towards creating a collective brief in an emergent fashion, finally culminating in a board game. The experiences of participants were explored through Interpretative Phenomenological Analysis (IPA), using semi-structured interview data. The analysis served to identify key themes characterising the experience of co-design such as contributing, connecting, thinking and intentioning. In addition, a mixed-methods analysis of questionnaires and interview data exploring participants' wellbeing, showed that all participants who engaged fairly consistently in the project improved after the project ended, although some participants' scores returned to baseline six months later.
Reflecting on both projects, an approach to facilitation within mental health is outlined, detailing how the dimensions of weaving and layered participation, nurturing mattering and facilitating attitudes interlace. This contribution raises awareness of tacit dimensions in the practice of facilitation, articulating the nuances of how to encourage and sustain meaningful and ethical engagement and offering insights into a range of tools. It highlights the importance of remaining reflexive in relation to attitudes and emotions and discusses practical methodological and ethical challenges and ways to resolve them which can be of benefit to researchers embarking on a similar journey.
The thesis also offers detailed insights on how methodologies from different fields were integrated into a whole, arguing for transparency and reflexivity about epistemological assumptions, and how underlying paradigms shift in an interdisciplinary context.
Based on the overall findings, the thesis makes a case for considering design as healing (or a designerly way of healing), highlighting implications at a systems, social and individual level. It makes an original contribution to our understanding of design, highlighting its healing character, and proposes a new way to support mental health. The participants in this study not only had increased their own wellbeing through co-designing, but were also empowered and contributed towards healing the world. Hence, the thesis argues for a unique, holistic perspective of design and mental health, recognizing the interconnectedness of the individual, social and systemic dimensions of the healing processes that are ignited
Reawakening Sport and Community Engagament in a previous Olympic Host City: Capitalising on the Athens 2004 Olympic Volunteer Legacy 17 Years on
This project aimed to revise understanding of the current experiences of civil and volunteer sector stakeholders. It employed a qualitative, mixed-method, research design comprising strategically targeted semi-structured interviews and surveys with 19 civil society professionals and Athens 2004 volunteer programme administrators and participants. Findings reveal that the Athens 2004 Olympic Games was aided by existing sector expertise and resources, eventually encouraged further third sector development in the country, and inspired individuals to continue wider volunteer-related work. Additionally, while broader social, political, economic factors and a lack of post-Games strategy hindered sector development, new collaborative opportunities were also created. Ultimately, these findings provide a critical appraisal and guidelines for enhancing future Olympic volunteer legacies in host cities
Recommended from our members
Home and School Literacy Practices of Children in a Rural Village in India: An Ethnography
The Indian state is responsible for providing free and compulsory education to all its 6-14-year-old children. A significant majority of these children attend state schools and belong to some of the most socio-economically disadvantaged sections of the country. Researchers who document teaching in these schools continue to provide accounts of teacher-led instruction. Both international and Indian assessments of literacy also evidence dismal levels of learning among children.
Unlike previous studies from India which have focused on teachers and teaching, this study broadens its focus to include children and learning. It does this by exploring the range of literacy practices that children engage with at home and school, and by taking into consideration the beliefs of caregivers and teachers shaping these practices. Theoretically rooted in a sociocultural theory, it shines a light on how children’s literacy practices are cultural and personal and, consequently, uncovers the relationship between home and school practices.
Ethnography provides the methodological framework for the study. The five participant children live in a resource-poor, agrarian village and attend the state school within the village. The literacy practices of two are discussed in detail in this current study. Participant observation of children’s practices in naturalistic settings, that is, their homes and school, and conversations with them lie at the heart of the fieldwork. Interviews with caregivers and teachers were also undertaken. Data were recorded with audio and video devices, in the form of fieldnotes, and children’s texts were captured through photographs. Consequently, it is the first known research to endeavour a qualitative exploration of children’s home literacy practices in India and to do so within a rural community.
This study makes significant contributions to theory. This has been possible because of the depth of its fieldwork and the theories it has chosen to draw on for analysis. The cultural nature of children’s practices has been highlighted using Gee’s (2002, 2012, 2014) conceptualisation of Discourse and identity and their personal nature has been examined using Hedges and her colleagues (Hedges et al., 2011; Hedges & Cooper, 2016) theorisation of interests. As a result, this study has been successful in highlighting the personal nature of children’s literacy practices. It also provides evidence of the potential of both theories to illuminate the nature of children’s literacy practices
- …